Process Evaluation

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Outing a Logic Model

Outing a Logic Model

Practice-Level Logic Model Outline

Problem	Needs	Underlying Causes	Intervention Activities	Outcomes
Helen experiences high stress, anxiety, and back pain levels. She has to address medical management and abuse issues linked to Alec and a reliable support system for Magda.	Helen requires to know how to address self-care, manage stress and anxiety, and conduct a psychiatric evaluation. Likewise, there is a need to improve the support system and have a housing plan for Magda, John's mother.	Helen's stressors include limited family support. This stress makes her get overwhelmed with her duties at home. Also, the role of taking care of her mother-in-law, Magda, is another stressor. Further, Alec, Helen's son, stresses family by stealing checks, jewelry, and mediation to support his substance abuse issue.	I would employ cognitive restructuring. This approach assists in emphasizing chronic anxiety and stress. The approach is a psychotherapy technique that considers anxiety and stress due to uncertain events (Swets & Bjork, 1990). Also, individual counseling will assist Helen in handling stress and give offer her medications to lower anxiety and stress problems. Similarly, I would provide some physical therapy intervention in helping Helen with her back pain problem.	The outcomes restrict Helen's anxiety and stress by lowering her family role. By reducing Helen's family role, she will improve her mental health. Also, counseling intervention helps Helen cope with dynamic daily family activities.

Program-Level Logic Model Outline

Problem	Needs	Underlying Causes	Intervention Activities	Outcomes
Helen has high-stress levels and anxiety. She needs a supportive family atmosphere and proper medication management for her back pain problem. Regarding her substance abuse issue, she should solve it by inquiring about substantive family support.	Helen requires to solve anxiety and stress issues. Also, she should have a supported housing plan for her mother-in-law, participate in psychiatric evaluation, and address the issue of back pain.	Helen has many family responsibilities that have increased her stress and anxiety. Her son has subjected the family to hardships by stealing grandmother's items. As a result of this stealing, the family has become dysfunctional in assisting Magda's needs. Likewise, Petrakis' family lacks a reliable caregiver for Magda.	A solution-based technique would be the best intervention. This technique is goal-focused and emphasizes a solution while embracing resilience, a person's strengths, and resources (Proudlock & Wellman, 2011). A specific activity will tend to be family counseling and individual counseling sessions. Through the use of individual counseling, Helen will easily solve the stressors and unexpected anxiety problems. Also, the deployment of psychodynamic therapy will help Petrikis' family embrace issues and gain insight into one's life (Leichsenring et al., 2006).	The use of psychodynamic therapy is a short-term outcome. This therapy helps Helen handle anxiety and stress issues by incorporating 13 individual counseling sessions. A long-term approach is providing family counseling sessions for about two years through a psychodynamic technique with family members present in the sessions. This attendance helps lower family stressors.

Practice Level Logic

Helen fails to react to challenges appropriately and does not seem to be experiencing depression. She is undergoing distress and guilt. At an all-time low, there is a love for self and is focused on maintaining family order. Thus, Helen must cope with her usual life stressors and general well-being interventions.

Cognitive restructuring changes the perception of a person's stress by reexamining the circumstance and replacing irrational beliefs with positive self-statement. This approach applies to all situations where a patient experiences negative thoughts resulting from depression or anxiety, and it redefines these thoughts to become productive, thereby lowering the sympathetic response. According to Swets & Bjork (1990), the change of perception of a situation does not prompt the stimulation of the sympathetic nervous system. However, anxiety and stress levels decrease.

Program Level Logic

From the perspective of the Petrakis family, it is critical to utilize a closed group for therapy during the implementation of the psychodynamic therapy technique since family cultures and belief systems fail to share the same social issues with new members. The particular group activities involve having a family to individually gain expressway for helping Helen have few family responsibilities to reduce stress and anxiety levels. Likewise, psychodynamic therapy associated with solution-focused therapy helps all family members identify their family role and support Magda.

The short-term outcomes help Helen with individual counseling services to solve stress and anxiety issues. These issues result from being overwhelmed with family responsibilities in the Petrakis family. The sessions include 13 sessions with a set time of 90 minutes with a professional therapist. The primary focus is on Helen's immediate stress and anxiety issues. The long-term outcome is focusing on family stressors within the Petrakis family and providing a safe and secure housing plan for mother-in-law Magda. Measuring outcomes come in different ways, such as a therapist recording data during counseling sessions, examining how Helen feels about Magda's care, Alec, and measuring roles done by family members. Likewise, the therapist can utilize a scale to measure stress and anxiety levels before counseling sessions.

References

Leichsenring, F., Hiller, W., Weissberg, M., & Leibing, E. (2006). Cognitive-behavioral therapy and psychodynamic psychotherapy: Techniques, efficacy, and indications. American Journal of Psychotherapy, 60(3), 233-59. Retrieved from http://search.proquest.com/docview/213135027?accountid=1229

Proudlock, S., & Wellman, N. (2011). Solution focused groups: The results look promising. Counselling Psychology Review, 26(3), 45–54.

Swets, J. A., & Bjork, R. A. (1990) "Enhancing human performance: An evaluation of "new age" techniques considered by the U.S. Army." Psychological Science, 1, 85-l96.